Health Information Management

Tip: Reporting seventh characters for fractures in ICD-10-CM

APCs Insider, July 25, 2014

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In ICD-10-CM, when reporting foot and toe fractures, coders will use the initial encounter characters A and B when a condition is actively treated during the initial encounter (e.g., surgical treatment, ED encounter, evaluation by new physician[s]).
 
Coders will use the subsequent encounter characters D, G, K, and P for follow-up treatment of that same injury during the recovery phase. The seventh character S, for sequela, should be used for complications that are a direct result of an injury.
 
This tip is adapted from “ICD-10 anatomy refresher: Feet” in the July issue of Briefings on APCs.



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